Business Office Manager (BOM)

Saber Healthcare Group; Pittsboro (NC); On-site; USD 103,155,000 - 111,751,000; Full time

Benefits offered by this job

Flexible Pay Options

Family-like Atmosphere

Generous PTO

Career Growth

Strong Leadership

401K Plan

Life Insurance

Employee Assistance Program

Job summary

Saber Healthcare Group is seeking a detail-oriented Business Office Manager to lead revenue cycle operations for a skilled nursing facility. You will drive cash collections, AR aging reduction, and ensure financial accuracy while partnering with billing to submit insurance claims and resolve billing issues.

The role requires strong organizational skills, cross-department collaboration, and adherence to regulatory standards. Flexible pay options and growth opportunities are available.

Qualifications

• High school diploma or equivalent; college coursework preferred.
• Two years in a long-term care business office or related healthcare setting.

Responsibilities

• Oversee daily business office operations including census, deposits, and cash posting.
• Manage private pay collections and resident trust accounts.
• Support Medicaid eligibility processes and follow-up.
• Collaborate with billing to ensure timely insurance claims submission and issue resolution.

Skills

Communication

Organization

Time management

Interpersonal skills

Education

High school diploma or equivalent

Some college coursework in business/healthcare administration

2+ years in long-term care business office

Knowledge of Medicare/Medicaid/Managed Care

Medicaid eligibility understanding

Proficiency in Microsoft Office/Excel

Tools

Microsoft Office

Excel

Healthcare billing systems

Job description

We are seeking a results-driven Business Office Manager to lead revenue cycle operations within our skilled nursing facility. The ideal candidate is detail-oriented, highly organized, and proactive with a strong ability to collaborate across departments to ensure seamless financial operations and optimal revenue cycle performance.

We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026!

Position Summary:

This role is critical to driving cash collections, reducing accounts receivable aging, and ensuring overall financial accuracy and compliance. The Business Office Manager is responsible for overseeing the daily operations of the business office, ensuring adherence to regulatory and company standards. Key responsibilities include managing census, daily deposits and cash posting, private pay collections, resident trust accounts, and Medicaid eligibility processes. This role also partners closely with the billing team to support the accurate and timely submission of insurance claims and resolution of billing issues.

Advantages:

• Flexible Pay Options – Choose On-Demand Pay and get paid as soon as tomorrow for work done today or opt for our Weekly Pay schedule!
• Positive, Family-Like Atmosphere – Work in a fun, supportive environment where teamwork and care go hand-in-hand.
• Generous PTO & Benefits – Enjoy a comprehensive benefits package designed to support your well-being and work-life balance.
• Career Growth Opportunities – Take advantage of our Loan and Forgiveness program as well as other educational programs to advance your nursing career.
• Strong, Stable Leadership – Join a team led by experienced managers who are committed to customer service excellence and staff development.

Benefits and Perks*:

• DAILY Pay!
• Benefit eligibility the first of the month following 30 days
• Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution.
• 401K through Fidelity
• Employer-paid life insurance (FT employees)
• Robust Employee Assistance Program
• Generous Paid Time Off (PTO)
• Educational, leadership, and tuition opportunities
• Various discount programs offered, including discounted childcare programs through KinderCare
• Wellness programs offered through WebMD
• Employee recognition programs
• Culture of employees creating an IMPACT!

Education/Qualifications:

• High school diploma or equivalent required; some college coursework in business, healthcare administration, or a related field preferred
• Must have, as a minimum, two (2) years experience in a long-term care business office or other related healthcare setting
• Working knowledge of health insurance payers, including Medicare, Medicaid, and Managed Care plans
• Understanding of Medicaid eligibility requirements and the application process, including follow-up and documentation coordination
• Ability to communicate professionally and tactfully with residents, families, staff, and external partners
• Strong organizational and time management skills, with the ability to manage multiple priorities in a fast-paced environment
• Proficiency in Microsoft Office applications, including Outlook and Excel; experience with healthcare billing or electronic systems preferred

Shift & Wage:

• Full-Time Opportunity Available
• Shift Needed: 8:00a - 4:30p
  • Manager on Duty Weekend Rotation
• Wage: $36.00 - $39.00 per hour
• Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans.

We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.